Book consultation Symptoms
Progestogen

Progesterone and progestogens

Protects the lining of the womb if you still have one. Taken as a capsule, tablet, patch or coil.

Why it matters

If you still have a womb, oestrogen on its own can cause the womb lining to thicken, which raises the risk of womb cancer. A progestogen alongside oestrogen protects against this.

Your options

  • Micronised progesterone capsules, taken daily or for part of each month
  • Synthetic progestogens as tablets or combined with oestrogen in some patches and tablets
  • A hormonal coil, which also provides contraception

Continuous or cyclical?

In perimenopause, many women take a progestogen for part of each month, which usually brings a monthly bleed. After menopause, most switch to taking it every day, which usually means no bleeds. Your doctor will explain which suits you as part of your personalised HRT plan. Our HRT UK guide explains how oestrogen and progestogen fit together, and why one is rarely prescribed without the other if you have a womb.

Progesterone and progestogens

Common questions

Do I need progesterone if I have had a hysterectomy?

Usually not. If your womb has been removed, oestrogen-only HRT is normally used. There are some exceptions, such as a history of endometriosis, which your doctor will check.

What is micronised progesterone?

It is progesterone that is chemically identical to the hormone your body makes. It is taken as a capsule, often at bedtime, and is one of several progestogen options.

Can a hormonal coil be part of HRT?

Yes. A hormonal coil can provide the progestogen part of HRT and also gives contraception, which matters in perimenopause.

Hormones matter.
Let's treat them properly.

Medical care that puts you back in control, with a doctor who listens, clear options and treatment tailored to you.